Player Registration

Fields marked with * are required.

Player Name *

Age *

Date of Birth *

Player Weight *

Football Experience

Position Last Played

Parent/Guardian Name *

Address *

City *

State *

Zip *

Phone *

Cell Phone

Community (e.g. Colonial Heights, Gray, etc)

Message

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Please enter the following security code:

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Player Registration

Player Fees will be $100.00

7-8 Year Division

(Players must be 7 by September 1st and no older than 8 on September 1st)

9-10 Year Division

(Players must be 9 by September 1st and no older than 10 on September 1st)

11-12 Year Division

(Players must be 11 by September 1st and no older than 12 on September 1st)

All registered players will be notified when practice will begin by email. Please make sure we have your email address.